Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Marie Jaskulka, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1780406348

Kimberly Marie Jaskulka, NURSEPRACTITIONER is a Nurse Practitioner in Davison, Michigan. Qualified in 2024, 2 years ago. Practices with Diversified Hospice Care, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024

Practice location Address checks out

9502 Country Club Ln
Davison, MI 48423-7801
Phone: (810) 577-1871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704205403 (MI)

Record details

NPI number1780406348
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Diversified Hospice Care, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Davison